| NPI | 1598132169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT WILLIAM BLOOM Owner, CEO 310-386-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26571) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2015-08-30 |